Cycle 1
Health 2025-11-21 · Fire 2025-11-21
2 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Brookings, SD
The Neighborhoods At Brookview
5-star overall rating with 5-star inspections with 2 recent health deficiencies
2421 Yorkshire Dr, Brookings, SD
(605) 696-8700
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
79
Certified beds
Average residents
73
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.86
Registered nurse staffing · state 0.80 · national 0.68
LPN hours / resident day
0.34
Licensed practical nurse staffing · state 0.49 · national 0.87
Aide hours / resident day
3.53
Nurse aide staffing · state 2.61 · national 2.35
Total nurse hours
4.73
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.20
RN + LPN hours · state 1.28 · national 1.54
Weekend hours
4.04
Weekend nurse staffing · state 3.32 · national 3.43
Weekend RN hours
0.60
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.00
CMS adjusted RN staffing hours
Adjusted total hours
5.51
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,427
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.77
Composite VBP score used to determine payment impact.
Payment multiplier
1.0119
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.7
Baseline 19.06% · Performance 17.86% · Measure score 7.7 · Achievement 7.7 · Improvement 5.39
Healthcare-associated infections
6.49
Baseline 5.93% · Performance 5.90% · Measure score 6.49 · Achievement 6.49 · Improvement 0
Total nurse turnover
2.30
Baseline 65.62% · Performance 54.29% · Measure score 2.30 · Achievement 2.30 · Improvement 2.28
Adjusted total nurse staffing
6.22
Baseline 4.50 hours · Performance 4.85 hours · Measure score 6.22 · Achievement 6.22 · Improvement 2.21
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.2% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 71 · Observed rate 4.23% · Lower 95% interval 6.48% |
| Discharge to community | 49.36% |
50.57%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 43.59% · Lower 95% interval 35.9% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.11% |
95.27%
2.8 pts better
|
Numerator 52 · Denominator 53 |
| Falls with major injury | 1.89% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 53 |
| Discharge self-care score | 37.5% |
53.69%
16.2 pts worse
|
Numerator 18 · Denominator 48 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 16 · Denominator 48 |
| Pressure ulcers or injuries, new or worsened | 5.66% |
2.29%
3.4 pts worse
|
Numerator 3 · Denominator 53 · Adjusted rate 5.61% |
| Healthcare-associated infections requiring hospitalization | 5.89% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 41 · Observed rate 0% · Lower 95% interval 3.14% |
| Staff COVID-19 vaccination coverage | 2.92% |
8.2%
5.3 pts worse
|
Numerator 4 · Denominator 137 |
| Staff flu vaccination coverage | 68.24% |
42%
26.2 pts better
|
Numerator 101 · Denominator 148 |
| Discharge function score | 45.83% |
56.45%
10.6 pts worse
|
Numerator 22 · Denominator 48 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 79.31% |
25.2%
54.1 pts better
|
Numerator 23 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.5
0.7 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.9
0.9 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
95.4%
4.2 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
96.9%
0.4 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.6% |
5.1%
0.5 pts worse
|
3.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 10.1% · Q3 4.6% · Q4 4.5% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
4.6%
3 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 1.6% · Q4 1.7% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.5%
1 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 4.7% · Q3 5.0% · Q4 1.7% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.6% |
17.8%
4.2 pts better
|
19.6%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 15.4% · Q3 12.9% · Q4 13.1% · 4Q avg 13.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.8% |
25.1%
6.3 pts better
|
16.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 17.0% · Q3 23.1% · Q4 24.5% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.1% |
21.3%
1.2 pts better
|
16.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 19.9% · Q3 16.2% · Q4 26.9% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.2% |
21.6%
0.4 pts better
|
14.9%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 29.0% · Q3 19.7% · Q4 19.0% · 4Q avg 21.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
2.0%
1.6 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
3.3%
0.2 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 4.8% · Q4 6.3% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
25.8%
1.9 pts better
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.3% · Q2 24.2% · Q3 29.6% · Q4 19.3% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
4.6%
1.9 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 5.1% · Q3 6.6% · Q4 5.9% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
83.2%
12.3 pts better
|
81.7%
13.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q3 96.9% · Q4 95.1% · 4Q avg 95.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
11.7%
11.7 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
1.7%
1.3 pts worse
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.7% |
78.2%
5.5 pts worse
|
79.7%
7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 9.0% |
21.5%
12.5 pts better
|
23.9%
14.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 7.5% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-31 · Fire 2024-05-31
3 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-08-31 · Fire 2023-08-31
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-05-31
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-07-15
D · Potential for more than minimal harm
2023-08-31
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-02
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-21
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-12-05
E · Potential for more than minimal harm
2025-11-13
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-31
E · Potential for more than minimal harm
2024-05-31
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-15
D · Potential for more than minimal harm
2024-05-31
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-07-15
D · Potential for more than minimal harm
2024-05-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-15
D · Potential for more than minimal harm
2023-08-31
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-19
D · Potential for more than minimal harm
2023-08-31
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-19
D · Potential for more than minimal harm
2023-08-31
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-19
Penalties and ownership
What sits behind the stars
Ownership
City Of Brookings
5% Or Greater Direct Ownership Interest · Organization
Merkley, Jason
Corporate Officer · Individual
Merkley, Jason
W-2 Managing Employee · Individual
Wagner, Melissa
Corporate Officer · Individual
Wagner, Melissa
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
United Living Community
Brookings, SD
2-star overall rating with 2-star inspections with abuse icon flag with $12,695 in total fines with 12 recent health deficiencies
#2
Riverview Healthcare Center
Flandreau, SD
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $93,379 in total fines with 18 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Flandreau Santee Sioux Tribe Care Center
Flandreau, SD
3-star overall rating with 3-star inspections with $17,007 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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